Wayne, NJ Physicians

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Tips & Advice

How often should a child see a pediatrician?

A child should see his or her pediatrician frequently during the first few years. Once the child reaches age 3, parents should schedule a doctor's visit at least once per year. Before that, however, the American Academy of Pediatrics suggests parents arrange visits according to the following schedule:

2 to 5 days old

1 month old

4 months old

6 months old

9 months old

12 months old

15 months old

24 months old (2 years)

30 months old (2.5 years)

Do pediatricians provide emergency care?

No, parents should call 911, an emergency physician, or a pediatric emergency physician if a child suffers an acute illness or injuries. Doctors in these fields are more qualified than pediatricians to handle emergency situations.

What is a well-visit with a pediatrician?

A well-visit is a routine visit with a pediatrician to track a child's development, discuss medical or emotional concerns, and receive immunizations and medical advice.

Do pediatricians provide immunizations?

Yes, pediatricians provide immunizations for infants and children up through 21 years.

Do pediatricians have to be board certified?

No, pediatricians do not have to be board certified.They're only required to have a state license. However, certification indicates a dedication to studying pediatrics beyond the requirements.

How long does a visit with a pediatrician take?

The length of a wellness visit to a pediatrician should take about 30 minutes from the time the doctor is first available to the time the patient leaves the office. This does not take into account wait time or time filling out paperwork. Diagnostic visits can take longer, depending on the symptoms and the condition.

How much does a pediatric appointment cost?

A pediatric appointment usually costs $115-$180.

Does a pediatrician receive special training & education?

Pediatricians graduate from four years of medical school, then spend at least three years in a pediatrics residency program.

How is a pediatrician different than a family doctor?

Pediatricians only care for patients 21 and younger, while family doctors care for children and adults of all ages.

What is a pediatrician?

A pediatrician is a medical doctor specifically trained to care for children of all ages: newborns, infants, kids, teenagers, and young adults. They focus on preventative care and short- and long-term treatments for acute and chronic conditions.

I love coming to Dr. Wise's office for fillers and Botox. I have been a patient of his for years and would never consider going to anyone else. He is the best of the best. Nowhere else will you find a facial plastic surgeon with his level of expertise, kindness and caring for his patients. Dr. Wise keeps me looking young and refreshed and I encourage anyone looking for facial rejuvenation to choose Dr. Wise. Since I have been seeing Dr. Wise I also started getting facials in the medical spa with Jennifer their Esthetician and that is such a treat as well. Dr. Wise and Jennifer are my secret weapons to beauty and confidence. There is no reason to go anywhere else! The new office is gorgeous too. I feel like I am at a fancy Manhattan office without having to drive over the bridge. Treat yourself to a fabulous experience and see Dr. Wise. You will not regret spending the money.

Dr. Wise is EXTREMELY knowledgeable and has an EXCELLENT artistic eye. He truly is an expert and knows exactly what needs to be done to make me look fabulous AND he is the sweetest guy. I have been extremely happy with every procedure he has done from Botox to fat transfer to Ulthera to laser hair removal - he does it all very very well. As we get older older we start to look tired, but Dr. Wise makes me look fresh and my skin looks glowing. I am 64 years old and I know I am not going to look the way I did when I was 25, but my skin is no longer sagging or drooping. I now look fresh and feel great thanks to Dr. Wise! He is the best and I mean every word of it!

Very happy from moment I met Dr. Wise. I was nervous about my facelift and laser skin resurfacing procedures, but he put me at ease immediately. I have established an excellent relationship with Dr. Wise and his office. I am 66 years old and he turned back the clock for me at least 10 years. Just the other day someone told me I look 38 years old!! I feel fabulous. I have heard stories that I would not look the same after a facelift, but I honestly I just look like a younger version of myself! I do not look different at all. The surgery was a breeze and I do not remember anything from the surgery time and I had no pain. Very very happy with results.

At 72 years old I finally decided it was time to get some work done. When I went in for a consultation, Dr. Wise recommended an upper blepharoplasty, facelift, and fat transfer. I had the procedures done soon after the consult and it was truly the best decision I ever made. For a long time before my surgery I was wearing only turtle necks because I was so self-conscious with my neck and how I looked. Now, after surgery, I can wear any neck line and certain clothes that I wasn't comfortable wearing before. I look 20 years younger, sounds crazy, but it's true! I feel amazing and I am very happy with the decision I made and that I chose Dr. Wise.

I did Coolsculpting at Dr. Wise's office and I loved it because he has 2 Coolsculpting machines so I got the treatment done in half the time. A procedure that would have taken 4 hours only took 2 hours! I also did Voluma for my cheeks and Belotero and I was very very nervous I was going to look too different and overdone. Dr wise put me at ease and the results look so incredible and natural. I got the change I wanted but no one noticed. I did not look over done at all. Dr Wise has amazing bedside manner and is extremely knowledge. I appreciate that he is always honest about his services and tells you when a procedure is or is not necessary.

I was more than happy with my results after my upper and lower bleph procedure and I think people should be better informed about the LACK of pain this procedure entails. I had zero pain! I did not need Advil or Tylenol or anything at all. I was actually really stunned with the lack of pain. I feel really great and I do not think I look younger, but I look well rested. I look the way I am supposed to look. Sagging eyes made me look exhausted all the time. Now when I look in the mirror I feel great and I love that I do not even need to wear make up.

I love my lips! Dr. Wise injected my lips with juvederm and I love the results. They look plump and full just as I hoped but not too overdone. I have gotten many compliments and will be going back for additional treatments when I am ready. Totally worth the money, plus Dr. Wise is one of the best facial plastics (I would only go to a facial plastic surgeon for this procedure) and he is very funny and down to earth too. Amazing Doctor and staff, beautiful office, and great results. Thank you Dr. Wise!

The patient care coordinator, Diane, was so accommodating and got me in very quickly to see Dr. Wise even though I was doing a lot of traveling at the time. It's only been 4 months post op since my hair restoration procedure and I am already seeing great results. If 4 months looks this good, I cannot wait to see the results after a year! I am very impressed with dr wise and his entire staff and started doing Botox and fillers with him as well since I am so happy with my hair.

I got Sculptra to add volume to my cheeks. I love what the doctor did for me and I wish i did it many years ago. I recommend Dr. Wise to anyone who is not happy with their looks. Check him out and you will not regret it. I feel very confident now in my every day life. I am more confident in my work and speaking with people. Since I look good I feel good. It's so important how you feel. The money I spent was well well worth spending and I would do it all over again.

Being a thin woman as I have aged I feel that I have lost volume in my face and my face looks drawn. Dr Wise suggested Voluma and I was nervous at first so he was conservative with the amount. I loved it so much I decided I wanted more and ended up doing 2 vials. Now I am getting into other things like Botox and I trust Dr. Wise's opinion without a question. I now have defined looking cheek bones and a prettier heart shaped face. Love that Dr. Wise!

Did You Know?

Physicians and surgeons help to keep people - from infants to the elderly - as healthy as possible. These individuals provide diagnoses and treatments for a wide variety of ailments, and preventative care and early detection for more serious illnesses. Whether you love or hate going to the doctor, the fact is your physician is there to listen to your health concerns, take preventative measures against diseases and advise you on your options for staying in tip-top shape.

In 2013, there were more than 1 million doctors of medicine in the U.S., over 854,000 of which were active. Additionally, in 2012, there were about 18,000 active general surgeons in the country. It's important to know which type of physician or surgeon you need, how to choose the best one, and account for other considerations in order to stay healthy.

Different Types of Physicians

Patients can choose from a wide variety of physicians depending on doctor specialty and what problems they are experiencing. Here are a few of the most common types of physicians that you may see in your lifetime:

General Practitioner
Your GP is the doctor that you go to for regular checkups, vaccines and to identify health issues. GPs can treat many different illnesses and injuries, from the common cold to a broken arm. If your health requires a second opinion or expert care, the GP will refer you to a specialist who has the skills to focus in on the issue.

Cardiologist
Heart attacks and heart disease are some of the most common afflictions seen across the country, making cardiologists important to your long-term health. These physicians specialize in studying and treating the heart and related diseases.

Dentist
Other than a GP, the dentist is likely the most common physician you'll ever see. These professionals work with the human mouth, ensuring that your teeth and gum health are up to par. Patients typically go to the dentist twice a year.

Dermatologist
Dermatologists are focused on skin-related issues and diseases, from skin cancers, to acute acne, eczema, psoriasis, and general cosmetic concerns like aging and scars. Most will also perform annual or semi-annual mole checks to screen for any signs of melanoma, the most serious form of skin cancer.

ENT
If you have a number of sinus infections or have had your tonsils taken out, you've likely seen an ENT specialist. ENTs handle ailments related to the ear, nose and throat, often related to taking out tonsils and treating hearing issues.

OB/GYN
For many women, their gynecologist and obstetrician are the same person. These professionals work with the female reproductive system to focus on reproductive health, fertility issues, prenatal care, options for new and expectant mothers, neonatal care and childbirth. OB/GYNs can also help in the early detection of breast or cervical cancer.

Choosing a Physician

There are obviously a number of physicians that you can choose from, but how do you know if they're the best choice for you? Here are a few considerations to help you pick a physician:

Look at Your Insurance
Before you get down to the details, you need to verify which doctors are covered by your insurance and whether they are in or out of your carrier's network. Rates may be cheaper if the doc is in network – a doctor can be covered by your insurance but not necessarily in network. Out of network is typically more expensive. Doctors often add and drop plans, so it's important to ensure that your options are compatible with your insurance plan. Doing your homework will help you avoid unexpected expenses.

Check for Board Certification
Your physician should be certified through the American Board of Medical Specialties. Doctors must earn a medical degree from a qualified school, complete three to seven years of residency training, be licensed by a state medical board and pass one or more ABMS exams to be certified.

Examine the Reviews
Reviews of a doctor can reveal a lot about what your experience may be like. People may grade on staff friendliness, availability and effectiveness of treatment. Looking at these evaluations and getting recommendations from family and friends can direct you toward a physician for your needs.

Choosing a Surgeon

Surgeons can literally hold your life in their hands, and it's important to find the best one that can put you at ease and treat you effectively

Compatibility Factor
You need to feel comfortable with your surgeon. It's important to communicate your concerns and that your surgeon can respond adequately. Surgeons should be willing to go over the details of your procedure and answer any questions that you may have. They must take the time to discuss and address your worries.

Expertise Level
If you're going in for surgery, you want someone that knows what they're doing and has a high success rate. Ask how often the surgeon performs this surgery and try to find one that regularly does it. This will give you peace of mind that you're in capable hands.

Understanding Your Insurance

Your decision on a physician or surgeon can be majorly affected by the insurance plan you have. You may have insurance through employment, your spouse, your parents if you're under 26, or the marketplace if the previous options don't apply to you. It's important to understand how your insurance works to have the full picture of what you'll need to pay for.

Your insurance will have a deductible, which is the amount that you're responsible to pay for covered medical expenses. Some plans have coinsurances, where you must pay a certain percentage of the bill, and insurance will cover the rest. Co-pays state a flat rate for certain services, like paying $20 when you visit your GP or a $100 co-pay for an emergency room visit. Once you reach your out-of-pocket maximum, which will differ if you're an individual or within a family plan, your insurance may pay for 100 percent of covered medical expenses for the rest of the plan year.

If you plan to go to the doctor, need medication or have been recommended for surgery, call your insurance provider or go online to see what your plan covers. You can choose the best doctor for your needs, understand your options and prevent yourself from being blindsided by medical expenses.

Setting Your Appointment

Most doctors require a phone call for an appointment, although some may provide online scheduling as well. Be sure to have your insurance card with you when you set an appointment, and to bring it with you to the actual appointment. They need the ID numbers to verify your coverage, and will usually make a copy of the card for their files so you don't have to show it again unless your insurance changes.

When you call, let them know if you're a new patient, as this will require you to complete some paperwork for your first visit. Tell them the reason for your visit, such as your symptoms if you're feeling sick. It's also important to inform them if you have Medicaid and to find out if you need to bring anything to the visit, like current medications or medical records.

From here, the receptionist will likely ask what dates and times work best for you. During your call, it's important to be honest about your symptoms and the reason for your visit. This information will help the doctor treat you and give him or her an idea of what to expect. Your appointment may progress faster as a result, and the doctor can come prepared with a list of options to better care for you.

Risks

Doctors see a number of patients in a day, sometimes in 15-minute increments in areas where the physicians are in high demand. This can leave little time for doctors to perform thorough examinations, and they can end up missing certain problem indicators. While some problems, like a cold or flu, can be diagnosed in this time, more complex ailments require attention, which takes up time. Reviews can illuminate which doctors actively spend the necessary time with their patients and which ones are pressed against the clock to meet demand.

Surgery has some more dire risks attached to it, so be sure to talk to your surgeon about the potential issues that can come up as a result of your procedure. If a patient has a reaction to anesthesia, it can cause very serious complications, but this is an uncommon occurrence. Blood clots can be a significant problem after surgery, often caused by inactivity during recovery. Infections, numbness, scarring, swelling and death are all possible, but the likelihood of these issues will vary depending on the type of surgery you're undergoing. Talk to your doctor about your concerns and your risk potential.

Aftercare

Surgery affects people in different ways, but as you begin to emerge from anesthesia, you'll want to alert your nurse to any issues you may have. The nurse will tell you how the procedure went, what effect it will have on your condition, what to expect when you get home and how long it will take to get back to normal. If you start feeling pain, the nurse may give you medication to stop it from getting worse. When possible, it's also advised to move around to avoid blood clots from developing in your legs. This can be as simple as occasionally flexing your knee or rotating your foot.

Some surgeries are outpatient procedures, where people are released the same day. For major surgeries, patients may stay at the hospital for a few days to be monitored and address any concerns before being sent home. Discuss with your surgeon the projected length of the hospital stay and what you need to bring.

Recovery and Follow-up

Your recovery time and follow-up expectations will vary depending on your procedure. For example, you can be expected to be on your feet within a few days of having your wisdom teeth taken out, but it may be weeks before you have fully recovered from a broken foot or heart-valve surgery. Your surgeon will give you a list of things that you'll need to do during this time, including what medications to take and when you'll be able to get back to work and other activities.

Every surgery will have a follow-up call or appointment to discuss your recovery and allow you to ask any questions about unusual symptoms or changes in your overall health. If you have a major operation, like heart surgery, it's important to make regular checkups with your doctor or a specialist to ensure that everything is normal. Visiting a doctor will help deter infection and verify that everything is healing as expected. These appointments will give you peace of mind about your state of health and ensure that any issues are caught early on.